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Platt College Associate of Science Degree in Nursing NUR 2313: Community Based Care Theory and Clinical Syllabus

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Platt CollegeAssociate of Science Degree in Nursing

NUR 2313: Community Based Care

Theory and Clinical Syllabus

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COURSE & CLINICAL SYLLABUS

PLATT COLLEGEASSOCIATE DEGREE in NURSING SCIENCE

Course Title NURS 2313: Community Based Care4.5 Quarter Credits/3.0 Semester Credits

Classroom/Clinical Lecture Tuesday & Thursday Day section 1300-1700Evening section 1700-2200 with 1 hour meal breakClassroom 30 hours/Clinical 45 hours

Clinical Location TBA Expanded calendar will be distributed with textbook

Textbooks McEwen, Community-Based Nursing (3rd ed.). Elsevier (2009)

Swearingen, All-in-One Care Planning Resource, 2nd edition, Elsevier (2008)

D’Amico & Barbarito, Health & Physical Assessment in Nursing. 1st Edition, Pearson (2007).

Kee, Hayes, McCuistion, Pharmacology, A Nursing Process Approach. 7th Edition, Elsevier (2012)

Silvestri, Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition, Elsevier (2011)

Prerequisites NUR 2213 Family & Newborn Care; NUR 2223 Mental Illness Care; NUR2203 Care of Children

Course Description

This required core course of the nursing program contains both theory and clinical experiences addressing the needs and managing the nursing care for clients in a community setting. The nursing process, along with human needs and developmental principals are utilized to organize care for clients with a variety of health problems. Clinical experiences occur in a variety of community care settings leading to attainment of course and program objectives.

Instructional Methods

This course utilizes the lecture-discussion format, audiovisual aids, group discussions, and guest speakers.

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Course Point Attainment Assignments and Tests

The grading system for the theory component of course designates 75% of the total points to tests and 25% to laboratory assignments. A minimum of 77% of the total points available in each of the theory subdivisions (tests and clinical assignments) is required to achieve a passing grade.

Procedure for calculating a grade is:

Step 1: Calculate Column #1 points (900 points x 77% = 693.0 minimum points needed.) If you have earned 693.0 or more points proceed to step 2. If you do not have at least 693.0 points you have failed the course.

Step 2: Calculate Column #2 points (300 points X 77% = 231.0 minimum points needed.) If you have earned 231.0 or more points, proceed to step 3. If you do not have at least 231.0 points you have failed the course.

Step 3: Determine whether a satisfactory clinical grade has been achieved, as specified in the course outcome measures. If you have not satisfactorily completed each course outcome, you fail the course.

Column 1 (75% of grade) Column 2 (25% of grade)Exam #1 (150 pts) Clinical Performance (20 pts)Exam #2 (150 pts) Home Safety/Inf. Control (20 pts)Exam #3 (150 pts) Comparison Paper (70 pts)Exam #4 (150 pts) Care Plan (47.5pts)Final (192 pts) Care Plan (47.5pts)

Care Plan (47.5pts)Kaplan Focus Review (18 pts) Care Plan (47.5pts)Kaplan Integrated Exam (90pts)(Must achieve a score of 70% correct or higher on first attempt of post-test to receive points)Total (900 possible) Total (300 possible)

Total Possible points: 1200

Kaplan Testing

Kaplan competency examinations will be administered during the course. Kaplan Focus Review Exams, each student must achieve a 100% on the Community Focus Review Exam in order to receive the 2% of the grading criteria. The second component of the Kaplan competency testing is the Kaplan Integrated Exam. The student must achieve a score of 70% correct or higher on the first attempt of the Kaplan Community Integrated Post-test to receive the 10% of the grading criteria.The Kaplan Community Integrated Exam will be given twice (2), once as a Pre-test and the second as a Post-test. If the student does not achieve a 70% correct or higher on the Post-Reviewed 8/2011Revised 8/2011; 4/12

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test an “I” will be recorded on the transcript and the student will not be awarded the 10% of the grading criteria. At that time, the student will complete an individualized targeted review plan provided by the instructor. At the completion of the targeted review plan, the student will be allowed a second attempt on the Kaplan Community Integrated Post-test. If after the second attempt, the student does not achieve a 70% or greater he/she will continue to complete a supervised remediation plan and scheduled to take the exam until the desired score of 70% is achieved.

Students who have passed the course with a 77% will be allowed to progress within the nursing program during targeted reviews and remediation. Once the student has achieved the score of 70% the “I” will be removed from the transcript and the earned letter grade will be recorded. Students cannot graduate until they have successfully made 70% on the Kaplan Integrated Exam.

Grading Criteria

Criteria Percentage

Kaplan Focus Exams 2%

Exams and Finals 63%

Kaplan Integrated Exam 10%

Clinical 25%Total 100

Grade DistributionPercentages Grade93-100% A86-92% B77-85% C65-76% D0 - 64% F

I = Incomplete

Students should keep a personal record of their points. Grades are calculated by theinstructors at the end of the course. Grades are not released over the telephone. Grades are not released over the telephone. DO NOT CALL PLATT TO FIND OUT IF GRADES HAVE BEEN RELEASED

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Evaluation Methods

Nursing courses are divided into theory and clinical components. A satisfactory standard of performance must be maintained in both components of each nursing course. If a student has unsatisfactory performance in either theory or clinical, a passing grade will not be assigned to either component. Evaluation methods utilized in the course are varied and are based on measurable standards of behavior. They are planned to support the premise that evaluation is a shared responsibility of faculty and learner. Specific methods include:

Unit and final examsStandardized examsWritten assignments, such as: Client Care PlanFaculty evaluation by studentsCourse evaluation by studentsClinical site evaluation by students

Testing

If a student has to miss an exam for any reason, prior notification must be communicated to the instructor. The instructor will schedule a make-up time with the student, at the instructor’s discretion. An alternate form of the test may be utilized. Ten (10) points will be deducted from exams that are not taken at the scheduled time. If the exam is not made up within seven (7) calendar days of scheduled exam, the student will earn a zero for the exam.

ClinicalStudent must complete all required clinical hours. If you are going to miss a clinical for any reason, You need to contact Platt College at least one (1) hour prior to assigned clinical time. Missed clinical hours can be made-up ONLY if time allows during the scheduled course dates. If clinical hours are not completed by end of course, student fails course and will be terminated from the program. See LPN-RN Policy and Procedure Clinical Participation.

Any make-up must be authorized through the RN Administrator prior to conducting the make-up clinical experience

Clinical Assignment

All clinical homework must be completed and turned in to your theory instructor on or prior to the due date as specified on the calendar in your Community Based Care Clinical Syllabus. Instructions for each clinical paper, grading rubric, and templates for formatting the clinical homework are included in your clinical syllabus packet. Point deduction of 5% per calendar day is to be expected with late paperwork. Late paperwork is defined as any clinical homework submitted after assigned date as specified on course calendar.

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Individual Conferences

Each student will be expected to schedule individual conferences with their respective instructor according to individual needs. Also, if the instructor feels that student needs a conference, the instructor will ask the student to make an appointment or schedule one for the student at a mutually agreeable time.

Attendance

Attendance applies to the overall outcome of this degree program. A student that is LATE is considered tardy for the entire class. A student that LEAVES EARLY will be marked tardy and may be considered absent for the day if that student missed more than ½ of the class. Three tardies will constitute a full class absence.

If the student cannot attend class, for whatever reason, he/she MUST contact the front office or the Administrative Assistant of the nursing program. The 85% attendance rule applies to this course.

Smoking

Platt students will adhere to the smoking policy of each clinical facility. There is no smoking on the grounds of clinical facilities. Smoking at Platt College is limited to the designated areas outside the building, not in front of any entrance.

Class & Clinical Rules

See Platt College Nursing Student Handbook. Food is NOT allowed in the classroom. Bottled water is permitted. It is the students responsibility to keep the classroom clean and tidy to maintain a clutter free atmosphere.

The use of CELL phones is prohibited during class and clinical. Phones will be turned off or on vibrate. NO CELL PHONES WILL BE ALLOWED IN THE CLASSROOM DURING AN EXAM.

Name tag worn and visible. No artificial nails or nail tips, appropriate dress, jewelry, white jacket when recommended, enclosed shoes, and bringing appropriate equipment (i.e. stethoscope) are required in the clinical setting. Failure to comply with these rules will result in being sent home without question. See the Nursing Student Handbook for entire policy.

For clinical, personal belongings MUST be left at home. The school and clinical facility will have NO responsibility for lost or stolen items. All students will demonstrate “professionalism” in interaction with peers, instructors, guest speakers, nursing staff, and client/families. “Flexibility” is an expectation that is required in this degree program. A Confidentiality Statement will be read and signed acknowledging that HIPAA rules apply

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to the classroom and clinical settings.

SafetyRefer to the current Nursing Student Handbook for in-depth information. In order to maximize protection for yourself, your family and your clients, it is the policy of this nursing program to follow the Center for Disease Control (CDC) Infection Control Recommendations for all lab practice and client care situations. Specific applications of these recommendations can vary and must be based on sound scientific rationales. Students must utilize appropriate resources in decision making, such as:

a. Curriculum materials (i.e., CDC guidelines and unit objectives)

b. Facultyc. Infection control nurses; and/ord. Written policies/procedures within facilities

Feedback

Instructor feedback will be given to the student’s via verbal and written methods. Respectful student feedback is encouraged to promote an environment conducive to learning. The instructor reserves the right to adapt the methods of content delivery. Instructor Availability

Phone messages are taken by the front office staff and the Administrative Assistant of the nursing program when the instructor is not in the office. Phone messages are placed into the instructor’s box and phone calls will be returned within 24-48 hours. E-mailing the faculty is encouraged. Appointments can be made with the instructor on an individual basis. Office hours are Monday through Friday by appointment.

Course Evaluation

Each student will have the opportunity to evaluate the faculty, the course and the clinical site. This input is encouraged, and may be incorporated into indicated component revisions.

Options for re-entering the program is explained in the Nursing Student Handbook.

Other policies as outlined in the current Nursing Student Handbook are applicable to this and all nursing courses.

Evaluation Methods:

Nursing courses are divided into theory and clinical components. A satisfactory standard of performance must be maintained in both components of each nursing course. If a student has unsatisfactory performance in either theory or clinical, a passing grade will not be assigned to either component. Evaluation methods utilized in the course are varied and are based on measurable standards of behavior. They are planned to support the premise that

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evaluation is a shared responsibility of faculty and learner. Specific methods include:

Unit and final exams, Standardized exams Written assignments, such as: Clinical Performance, Psychiatric Nursing History and Assessment, Client Care Plan, Process Recording, Cultural Assessment Heritage Assessment Tool Faculty evaluation, course evaluation, and clinical site evaluation by students

Article Summary:

1. An article must be obtained for each client that the student writes a care plan. Articles must be selected from a professional journal or publication either print or online, published within the last 3 years.

2. Article topics should be relevant to the client, i.e.:a. Medical diagnosisb. Surgeries or proceduresc. Laboratory studiesd. Diagnostic studiese. Priority nursing needsf. Spiritual/cultural beliefsg. Discharge planning

3. Journals might contain helpful information include:American Journal of NursingCINAHL IndexGeriatric NursingHolistic Nursing PracticeHome Health Care NurseJournal of Gerontological NursingJournal of Nursing AdministrationJournal of Nursing EducationJournal of Psychosocial NursingLegislative Network for NursesMCN: The American Journal of Maternal/Child NursingNursingNurse EducatorNursing ManagementNursing OutlookNursing ResearchPediatric NursingRN

4. Platt College subscribes to several electronic resources, which come in the form of databases. The following table provides information on how to access some of these subscription databases:

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Database Web Address User Name/ID # PasswordEBSCO http://search.epnet.com Platt CollegeLIRN http://lirn.net 99150 NoneIntute http://www.intute.ac.uk None None

5. One copy of the article will be submitted with the comprehensive care plan.

6. Submit legibly handwritten or typed bibliographic information and a 1 page summarization of the article contents with the care plan. There is to be a cover page included that is written per APA guidelines. State how this article relates to the clients condition/care. Bibliographic information must be written per APA guidelines, i.e.: Cholowski, K.M. & Chan, L. (1992). Diagnostic reasoning among second year nursing students. Journal of Advanced Nursing, 17 (10),1171-81.

Outside Work Requirement: 

Students enrolled in the nursing program should expect additional time required outside of the traditional classroom for study, class preparation, and work designed to meet the outcomes of the course and program.  Student work outside of class may include assignments with specific requirements, such as reading assignments in preparation for specific tasks, writing assignments, practice and practical application assignments, portfolio development, projects, or other equivalent learning experiences that are assessed/graded.  

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Platt CollegeNursing Program

NUR 2313: Community Based CareCourse Objectives and Outcome Measures

1. Describe the levels of prevention related to community based health. 2. Compare and contrast community based practice settings and community resources.3. Analyze the primary focus of community based nursing practice. 4. Organize teaching strategies to promote a community based health education

program. 5. Identify components of the home visit process. 6. Relate various levels at which health policy formation occurs in relation to economic

conditions. 7. Describe the relationships between economic conditions and health status. 8. Analyze cultural dilemmas encountered in community based nursing. 9. Describe environmental influences on the health of a client that may be encountered

by the community based nurse. 10. Analyze processes in community based nursing that facilitate needs fulfillment and

developmental task accomplishment focusing on: a. Childrenb. Women/Menc. Elderlyd. Family

11. Utilizes the nursing process to provide and manage care for persons adapting to multiple and complex health problems in community-based settings.

Course outcome measures for Community Based Care must be met to achieve a passing course grade:

1. Overall individual test average for course at a minimum of 77% or higher. 2. Individual clinical assignments for course at a minimum of 77% or higher.3. Required 77% or higher on each care plan.

a. For clinical care plans scoring below the required 77%, the student may present to a clinical committee a defense for that written care plan within 1 week

4. Achievement of 77% in both the theory component and in the clinical component to progress to the next nursing course.

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Platt CollegeNursing Program

NUR 2313: Community Based CareUnit A: Overview

Required Reading:

McEwen (2009) Community-Based Nursing 3rd Edition. Chapter 1: “Opportunities in Community Based Nursing Practice” pp 3-12Chapter 2: “Roles & Interventions in Community-Based Nursing Practice pp 13-26Chapter 5: Factors That Influence Health & Health Care pp 61-82

Student Learning Objectives:

1. Identify the focus of community-based nursing practice.

2. Discuss Registered Nurses opportunities & employment trends in community-based nurse settings.

3. Discuss the growth of home care in the United States

4. Explain the purposes of Healthy People 2010 and gives examples of the focus areas that encompass the national health objectives. www.healthypeople.gov

5. Distinguish the difference between primary, secondary, and tertiary care with focus on each in community-based settings.

6. Compare & contrast the emphasis placed on various roles in community-based practice and practice in acute care settings.

7. Differentiate between the public & private sector components of the health care delivery system.

8. Describe financing of health care providers focusing on: health maintenance organizations (HMO) preferred provider organization (PPO) traditional health insurance Medicare Medicaid Third party reimbursement

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Platt CollegeNursing Program

NUR 2313: Community Based CareUnit B: Settings

Required Reading:

McEwen (2009) Community-Based Nursing 3rd Edition.Chapter 7: “Environmental Health Issues” pp 100-125Chapter 10: “Nursing Care in Ambulatory Setting” pp. 165-188Chapter 11: “Home Health Care Nursing” pp. 189-216

Student Learning Objectives:

1. Examines potential environmental health threats related to housing and living patterns focusing on:

Air pollution Water pollution Food quality Radiation Solid waste

2. Describes primary, secondary, and tertiary prevention strategies for individuals, families, and communities for each of the previous types of environmental health hazards.

3. Examines specific aspects of nursing care in clinics, offices, schools, worksites, rural areas, parishes, and correctional facilities.

4. Contrasts nursing practice in different ambulatory care settings focusing on:a. Public healthb. Ambulatory oncologyc. Ambulatory surgery

5. Explores elements of home care nursing practice focusing on: Discharge planning Case Management Community resource coordination Interdisciplinary collaboration

6. Plans for a home health nursing visit including:a. Schedulingb. Telephone contactc. Chart reviewd. Equipment & supplies assessmente. Safety concerns & previsit planning

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7. Identify the components of the three phases of the home visit including:a. Initiation phaseb. Implementation phasec. Termination

8. Recognizes types of specialized home health nursing including:a. Infusion therapyb. Chronic wound carec. Perinatal home cared. Psychiatric home caree. Hospice care

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Platt CollegeNursing Program

NUR 2313: Community Based CareUnit C: Culture & Special Needs

Required Reading:

McEwen (2009) Community-Based Nursing 3rd Edition. Chapter 8: “Cultural Influences on Health” pp. 126-147Chapter 9: “Natural and Manmade Disasters” pp.Chapter 17: “Vulnerable Groups” pp. 353-367 Chapter 18: “Mental Health Issues” pp. 368-395

Student Learning Objectives:

1. Differentiates among and describes characteristics of the following:A. RaceB. EthnicityC. CultureD. Cultural valuesE. Socioeconomic statusF. Religious beliefsG. Transcultural nursing

2. Compare & contrast bicultural variations in health & illness of the following groups:A. African-AmericansB. Native Americans, including Aleuts & InuitsC. Asians & Pacific IslandersD. Whites (Americans of European Descent)E. Hispanic or Latino, Americans

3. Describes cultural variations related to diet, communication patterns, and religion.

4. Identifies key components of a cultural assessment.

5. Examines selected religious beliefs and practices focusing on nursing implications of each.

6. Defines the following terms:A. VulnerabilityB. Vulnerable groupsC. DisempowermentD. MarginalizationE. DisenfranchisementF. PovertyG. Homeless, (Episodic, Temporary, and Chronic)H. Migrant workers

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I. DisabilityJ. HandicapK. DisasterL. Federal Emergency Management Agency (FEMA)M. American Red Cross (ARC)

7. Examines the interaction of multiple risk factors that can lead to vulnerability.

8. Explains how poverty and/or homelessness affects health and how nurses can effectively intervene.

9. Discusses health threats common to vulnerable groups and their families, describing nursing interventions to address actual and potential health problems.a. Disabledb. Migrant workersc. Mental illnessd. Substance abuse

10. Explores health threats common to disabled persons, focusing on nursing interventions to address actual and potential health problems in this vulnerable group.

11. Compares and contrasts different types of disasters, focusing on the importance of preparedness and the role of the nurse.

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Platt CollegeNursing Program

NUR 2313: Community Based CareUnit D: Gerontology and Families

Required Reading:

McEwen (2003) Community-Based Nursing 3rd Edition. Chapter 15: “Health Promotion & Illness Prevention for Elders” pp 303-329Chapter 16: “Health Promotion & Illness Prevention for Families” pp 330-350

Student Learning Objectives:

1. Discuss the impact of changing demographics in America on the health care delivery system, using Healthy People 2010 objectives for older adults.

2. Discuss health-promotion and illness-prevention guidelines for older adults including recommendations on immunizations, safety concerns, and elder abuse.

3. Summarize care assistance arrangements for older adults, including:A. Nursing homesB. Home health agenciesC. Adult day careD. Respite care

4. Examine the stages of the family life cycle, giving examples of tasks to be accomplished at each stage.

5. Identifies characteristics of healthy families, considering health people 2010 objective related to family health.

6. Summarize components of a family assessment and develop a plan of care for a family including construction of a genogram, ecomap, and/or a family health tree.

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Platt CollegeNursing Program

NUR 2313: Community Based CareUnit E: Communicable Diseases

Required Reading:

McEwen (2009) Community-Based Nursing 3rd Edition. Chapter 6 “Epidemiology” pp 83-99Chapter 19 “Communicable Disease: Prevention and Intervention” pp 396-413

Student Learning Objectives:

1. Defines the following terms:a. Epidemiologyb. Hostc. Agentd. Morbidity ratee. Incidence ratef. Prevalence rateg. Censush. Vital statistics i. Centers for Disease Control & Prevention (CDC)j. National Institutes of Health (NIH)k. National Center for Health Statistics (NCHS)l. Outbreaksm. Distribution

2. Discuss ways in which concepts and documentation of epidemiology can be utilized in community-based nursing.

3. Apply models of disease causation in examination of diseases and health problems.

4. Discuss commonly used rates such as mortality rates, incidence rates, and prevalence rates, giving examples of when they are utilized.

5. Identify sources of information that may be accessed by nurses in community settings.

6. Describe the difference between descriptive epidemiology and analytic epidemiology, giving examples of each.

7. Defines the following terms:a. Direct and Indirect transmissionb. Reportable diseasesc. Immunity, Passive vs. Actived. Vaccine Adverse Event Reporting System (VAERS)e. Sexually transmitted diseases (STDs)

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f. Emerging infectious diseases

8. Discuss the incidence and prevalence of sexually transmitted diseases and present prevention strategies.

9. Identify potential emerging infectious diseases and discuss their prevention.

10.Discuss health issues related to international travel, focusing on prevention of communicable diseases.

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Platt CollegeNursing Program

NUR 2313: Community Based CareUnit F: Health Promotion

Required Reading:

McEwen (2009) Community-Based Nursing 3rd EditionChapter 12: “Health Promotion and Illness prevention for Infants, Children, and Adolescents” pp. 219-254Chapter 13: “Health Promotion & Illness Prevention for Adults” pp. 257-277

Chapter 14: “Issues in Women’s Health Care” pp. 278-302

Student Learning Objectives:

1. Discuss the importance of health-promotion activities in positively influencing thehealth of adults.

2. Contrasts the health benefits or problems of the following:

Regular exercise Exercise program Overweight/obesity Health diet components Tobacco use Smoking initiation avoidance Smoking cessation

3. Compare and contrast the risk factors for heart disease and stroke, identifyingways to minimize both.

4. Explores the most common types of cancer focusing on:

Risk factors Screening recommendations Treatment options

5. Plans prevention and management strategies for diabetes, including identificationof risk factors.

6. Identifies the issues related to family planning including: Contraception options Treatment of infertility Preconception counseling Prenatal care

7. Examines the teen pregnancy issue, identifies ways to decrease problemsassociated with it.

Clinical Evaluation CriteriaReviewed 8/2011Revised 8/2011; 4/12

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Student :________________________ Rotation:________________Instructor:_____________________ Location:________________

COMPETENCY WEEK1

WEEK2

WEEK3

WEEK4

WEEK5

Week 1 COMMUNICATION SKILLS: VERBAL & NON-VERBAL interactions with instructor, staff nurses, peers and patients. Includes following verbal instructions. Demonstrates respectful attitude.PROFESSIONAL ETIQUETTE: Punctual. Stays on assigned unit. Wears complete uniform and follows the dress code. Is prepared for the clinical day with necessary

equipment, completed assignments. Time-management Professional language and behavior. Works well with instructor, staff, peers and patients.

Week 2 Critical Thinking: Demonstrates critical thinking skills. Clinical decision-making and judgment rationale applied in the clinical setting. Based on evidence based practice. Utilize the Nursing Process when involved in decision making.ACCOUNTABILITY: Shows accountability for actions while in the clinical setting. Shows strong clinical judgment.

Week 3 WRITTEN COMMUNICATION: Legible handwriting, proper documentation per facility protocol. Proper spelling, punctuation and sentence structure. Writes logically with a rational flow of ideas. Able to follow written instruction.NURSING SKILL PROFICIENCY: Ability to perform nursing skills safely and proficiently without prompting from instructor or hospital staff. Demonstrates medication safe practice and

incorporates the “six rights” in medication administration.

Provides and adapts nursing care to meet age specific and cognitive needs of patient and family.

Week 4 CLIENT ADVOCATE: Acts as a client advocate. Provides holistic care, patient education and case management to ensure the client’s needs are met.SELF-MOTIVATION: Student is self-motivated and is actively seeking learning opportunities. Student welcomes opportunities to practice and become proficient in all nursing roles.

Week 5 LEADERSHIP: Student verbalizes and demonstrates an understanding of the leadership role in nursing. Involved in decision-making and delegation in the clinical setting. Demonstrates behaviors of seeing a task that needs to be done and doing without being asked. Involves peers in activity when needed.CARING BEHAVIORS: Shows enthusiasm for chosen profession and exhibits caring behaviors in the clinical setting, both towards clients, peers, instructors, and staff.

Students can receive up to 4 points daily. This will total 20 points for the clinical rotation.Total points______ Percentage______

Instructor comments:Reviewed 8/2011Revised 8/2011; 4/12

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Week 1

Week 2

Week 3

Week 4

Week 5

Student comments:

Instructor Signature:_____________________________________

Student Signature:________________________________________

Date:__________________________________

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ALL ABOUT COMMUNITY CLINICAL

The clinical assignment for Community Based Nursing involves the student“experiencing” the community. In order to achieve this, the student must choose a variety of community settings and spend 45 hours throughout the 5 week Community Based Nursing course.

The student must visit a Home Health Agency and a Hospice Agency – these 2 assignments are mandatory. For the other 29 hours the instructors have a variety of pre-arranged settings available to the student to schedule hours. Some examples are: John 3:16 Mission, Day Center for the Homeless, Crisis Pregnancy Center and Mend Pregnancy.

Dress code required is Platt issued scrubs or nice casual clothes. No jeans with holes or tears, no flip flops, no t-shirts with writing. In other words a professional appearance is appropriate.

The time scheduled is the responsibility of the students. There will be a form available for the student to document time spent, with whom, on what date, and with what agency. A total of 45 hours is required.

Reviewed 8/2011Revised 8/2011; 4/12